,Concept`01: Development
Giddens: Conceptsfor Nursing Practice, 3rd Edition
MULTIPLE CHOICE
1. The nurse manager of a pediatric clinic could confirm that the new nurse`recognized the pu
rpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is used
to review`for`needs related`to
a. anticipatory guidance`
b. low-risk`adolescents`
c. physical development`
d. sexual development`
ANS: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which revi
ews home, education, activities, drugs, sex, and suicide for the`purpose`of`identifying high-
risk`adolescents and the need for anticipatory guidance` It is used to identifyhigh-
risk, not low-risk, adolescents` Physical development is reviewed with anthropometric data`
Sexual development is reviewed using physical examination`
OBJ: NCLEX Client Needs Category: Health Promotion and`Maintenance
2. The nurse preparing`a teaching plan for`a preschooler knows that, according to`Piaget, the ex
pected stage of`development`for`a preschooler is
a. concrete operational`
b. formal operational`
c. preoperational`
d. sensorimotor`
ANS: C
The expected stage of`development`for`a preschooler (3–4 years old) is pre-
operational` Concrete operational describes the thinking of a`school-age child`(7–
11 years old)` Formal operational describes the thinking`of an individual after`about 11 years of
age` Sensorimotor describes the earliest pattern of thinking from birth to 2 years old`
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
3. The school nurse talking with a high school class about the difference between`growth`and de
velopment would best describe growth`as
a. processes by`which early`cells specialize`
b. psychosocial and cognitive changes`
c. qualitative changes associated with aging`
d. quantitative changes in size or`weight`
ANS: D
, Growth is a quantitative change in which an increase in cell number and size results in an incre
ase in overall size or`weight of the body`or`any of its parts` The processes by`which`early`cells s
pecialize are referred to as differentiation` Psychosocial and`cognitive changes are referred to
as development` Qualitative changes associated with aging are`referred to as maturation`
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
4. The most`appropriate response of`the nurse when`a mother`asks what the Denver II does is
tha t it
a. can diagnose developmental disabilities`
b. identifies a need for physical therapy`
c. is a developmental screening tool`
d. provides a framework for`health teaching`
ANS: C
The Denver`II`is the most`commonly used measure of developmental status used by healthcar
e professionals; it is a screening`tool` Screening tools do not provide`a diagnosis` Diagnosis req
uires a thorough neurodevelopment history`and physical examination`
Developmental delay, which is suggested byscreening, is a symptom, not a diagnosis` The nee
d`for`any`therapy`would be identified with a`comprehensive evaluation, not a screening tool`
S ome providers use`the Denver`II`as a framework`for teaching about expected`development,
but this is not the primary purpose of the`tool`
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
5. To planearly`interventiona n Nd U
caRreSfIoN
r`aGnTinBfànCt OwMith Downsyndrome, thenurseconsiders k
nowledge of other physical development exemplars such as
a. cerebral palsy`
b. failure to thrive`
c. fetal alcohol syndrome`
d. hydrocephaly`
ANS: D
Hydrocephaly`is also a physical development exemplar` Cerebral palsyis an exemplar`of adapt
ive developmental delay` Failure to thrive is an exemplar of social/emotional developmental d
elay` Fetal alcohol syndrome is an exemplar`of`cognitive developmental delay`
OBJ: NCLEX Client Needs Category: Health Promotion and`Maintenance
6. To plan`early intervention and care for a child with a developmental delay, the nurse would co
nsider knowledge of the concepts most significantlyimpacted by`development, including
a. culture`
b. environment`
c. functional status`
d. nutrition`
ANS: C
, Function is one of the concepts most significantly impacted by`development` Others include se
nsory-
perceptual, cognition, mobility, reproduction, and sexuality` Knowledge of these concepts can
help the nurse anticipate`areas that need to be`addressed` Culture is a concept`that is considere
d to significantly affect development; the difference is the concepts that`affect development ar
e those that represent major influencing factors (causes); hence determination of development
would be the focus of`preventive interventions` Environment`is considered to significantly aff
ect`development` Nutrition`is considered`to significantly affect development`
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
7. A mother`complains to`the nurse at the pediatric clinic that her`4-year-
old child always talks to her`toys and`makes up stories` The mother`wants her`child`to have a ps
ychological evaluation` The nurse‘s best`initial response is to
a. refer`the child to a psychologist immediately`
b. explain that playing make believe is normal at`this age`
c. complete a developmental screening using a validated tool`
d. separate the child from the mother to get`more information`
ANS: B
By`the end`of`the fourth`year, it is expected`that a child will engage`in fantasy, so this is
normal at this age` A referral to`a psychologist`would be premature`based only`on the
complaint of the mother` Completing a developmental screening would be very`appropriate
but not the initial re sponse` The nurse would certainly want to`get more information, but
separating the child from the mother`is not necessary at this time`
OBJ: NCLEX` Client` NeedsNCUaRteSgI
o rNy:GHTeBalt̀ hCPOrM
omotion and` Maintenance
8. A 17-year-
old girl is hospitalized for`appendicitis, and her mother asks the nurse why`she is so needy and
acting like a child` The best`response of the nurse is that in the hospital, adolescents
a. have separation anxiety`
b. rebel against rules`
c. regress because of stress`
d. want to know everything`
ANS: C
Regression to an`earlier`stage of development is a common response to`stress`
Separation`anxie ty is most common in infants and toddlers` Rebellion against hospital rules is
usually not an`iss ue if the adolescent understands the rules and would not create childlike
behaviors` An adolesce nt may`want to ―know everything‖ with their logical thinking and
deductive reasoning, but that would`not explain why they`would`act`like a child`
OBJ: NCLEX Client Needs Category: Health Promotion and`Maintenance
Giddens: Conceptsfor Nursing Practice, 3rd Edition
MULTIPLE CHOICE
1. The nurse manager of a pediatric clinic could confirm that the new nurse`recognized the pu
rpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is used
to review`for`needs related`to
a. anticipatory guidance`
b. low-risk`adolescents`
c. physical development`
d. sexual development`
ANS: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which revi
ews home, education, activities, drugs, sex, and suicide for the`purpose`of`identifying high-
risk`adolescents and the need for anticipatory guidance` It is used to identifyhigh-
risk, not low-risk, adolescents` Physical development is reviewed with anthropometric data`
Sexual development is reviewed using physical examination`
OBJ: NCLEX Client Needs Category: Health Promotion and`Maintenance
2. The nurse preparing`a teaching plan for`a preschooler knows that, according to`Piaget, the ex
pected stage of`development`for`a preschooler is
a. concrete operational`
b. formal operational`
c. preoperational`
d. sensorimotor`
ANS: C
The expected stage of`development`for`a preschooler (3–4 years old) is pre-
operational` Concrete operational describes the thinking of a`school-age child`(7–
11 years old)` Formal operational describes the thinking`of an individual after`about 11 years of
age` Sensorimotor describes the earliest pattern of thinking from birth to 2 years old`
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
3. The school nurse talking with a high school class about the difference between`growth`and de
velopment would best describe growth`as
a. processes by`which early`cells specialize`
b. psychosocial and cognitive changes`
c. qualitative changes associated with aging`
d. quantitative changes in size or`weight`
ANS: D
, Growth is a quantitative change in which an increase in cell number and size results in an incre
ase in overall size or`weight of the body`or`any of its parts` The processes by`which`early`cells s
pecialize are referred to as differentiation` Psychosocial and`cognitive changes are referred to
as development` Qualitative changes associated with aging are`referred to as maturation`
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
4. The most`appropriate response of`the nurse when`a mother`asks what the Denver II does is
tha t it
a. can diagnose developmental disabilities`
b. identifies a need for physical therapy`
c. is a developmental screening tool`
d. provides a framework for`health teaching`
ANS: C
The Denver`II`is the most`commonly used measure of developmental status used by healthcar
e professionals; it is a screening`tool` Screening tools do not provide`a diagnosis` Diagnosis req
uires a thorough neurodevelopment history`and physical examination`
Developmental delay, which is suggested byscreening, is a symptom, not a diagnosis` The nee
d`for`any`therapy`would be identified with a`comprehensive evaluation, not a screening tool`
S ome providers use`the Denver`II`as a framework`for teaching about expected`development,
but this is not the primary purpose of the`tool`
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
5. To planearly`interventiona n Nd U
caRreSfIoN
r`aGnTinBfànCt OwMith Downsyndrome, thenurseconsiders k
nowledge of other physical development exemplars such as
a. cerebral palsy`
b. failure to thrive`
c. fetal alcohol syndrome`
d. hydrocephaly`
ANS: D
Hydrocephaly`is also a physical development exemplar` Cerebral palsyis an exemplar`of adapt
ive developmental delay` Failure to thrive is an exemplar of social/emotional developmental d
elay` Fetal alcohol syndrome is an exemplar`of`cognitive developmental delay`
OBJ: NCLEX Client Needs Category: Health Promotion and`Maintenance
6. To plan`early intervention and care for a child with a developmental delay, the nurse would co
nsider knowledge of the concepts most significantlyimpacted by`development, including
a. culture`
b. environment`
c. functional status`
d. nutrition`
ANS: C
, Function is one of the concepts most significantly impacted by`development` Others include se
nsory-
perceptual, cognition, mobility, reproduction, and sexuality` Knowledge of these concepts can
help the nurse anticipate`areas that need to be`addressed` Culture is a concept`that is considere
d to significantly affect development; the difference is the concepts that`affect development ar
e those that represent major influencing factors (causes); hence determination of development
would be the focus of`preventive interventions` Environment`is considered to significantly aff
ect`development` Nutrition`is considered`to significantly affect development`
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
7. A mother`complains to`the nurse at the pediatric clinic that her`4-year-
old child always talks to her`toys and`makes up stories` The mother`wants her`child`to have a ps
ychological evaluation` The nurse‘s best`initial response is to
a. refer`the child to a psychologist immediately`
b. explain that playing make believe is normal at`this age`
c. complete a developmental screening using a validated tool`
d. separate the child from the mother to get`more information`
ANS: B
By`the end`of`the fourth`year, it is expected`that a child will engage`in fantasy, so this is
normal at this age` A referral to`a psychologist`would be premature`based only`on the
complaint of the mother` Completing a developmental screening would be very`appropriate
but not the initial re sponse` The nurse would certainly want to`get more information, but
separating the child from the mother`is not necessary at this time`
OBJ: NCLEX` Client` NeedsNCUaRteSgI
o rNy:GHTeBalt̀ hCPOrM
omotion and` Maintenance
8. A 17-year-
old girl is hospitalized for`appendicitis, and her mother asks the nurse why`she is so needy and
acting like a child` The best`response of the nurse is that in the hospital, adolescents
a. have separation anxiety`
b. rebel against rules`
c. regress because of stress`
d. want to know everything`
ANS: C
Regression to an`earlier`stage of development is a common response to`stress`
Separation`anxie ty is most common in infants and toddlers` Rebellion against hospital rules is
usually not an`iss ue if the adolescent understands the rules and would not create childlike
behaviors` An adolesce nt may`want to ―know everything‖ with their logical thinking and
deductive reasoning, but that would`not explain why they`would`act`like a child`
OBJ: NCLEX Client Needs Category: Health Promotion and`Maintenance
